MID COLUMBIA AMBULANCE LLC; NPI #1023188091

Contact Information

MID COLUMBIA AMBULANCE LLC

822 W JOHN DAY AVE
KENNEWICK, WA 99336-3577

Phone: 509-586-6982
Fax: 509-586-8314
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulance	341600000X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for MID COLUMBIA AMBULANCE LLC

NPI # 1023188091

LBN Legal business name MID COLUMBIA AMBULANCE LLC

Authorized official KEN EGLI - (CHIEF)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/08/2006

Last updated 10/17/2007 - About 19 years ago

Identifiers

WA	Medicaid	9056169
WA	Other	294920	PREMERA BC

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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